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Treatment of Pneumothorax with a Portable Thoracic Vent

The use of a thoracic vent device for lung reexpansion may be a good option that could potentially enable the patient to be discharged and managed as an outpatient provided they have close follow-up... Using either an over-the-wire Seldinger technique or a trocar for direct insertion, the catheter is inserted using local anesthetic and sterile technique into the affected side at the patient’s second intercostal space on the mid-clavicular line (similar in location to where one would needle decompress a tension pneumothorax). The entire device is then affixed to the chest wall with adhesive wings. It can be left to air seal or connected to suction if clinically indicated. Time to complete the…

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Articles of Interest

Effectiveness of Ambulatory Tru-Close Thoracic Vent for the Outpatient Management of Pneumothorax: A Prospective Pilot Study

In this article, we found that TV is not only safe and effective for the immediate treatment of pneumothorax, but also provides a high long-term recurrence-free success rate.

How To Use The Uresil Thoracic Vent

Good video. One caution--you really shouldn't connect it directly to a suction source. I was told directly by Uresil that the maximum suction pressure they recommended was 14.7 mmHg or 20 cmH2O. Most suction sources in the hospital don't allow fine enough control to maintain a pressure that small. If you want the ThoraVent connected to suction, it should be connected through a water seal canister, which can be set to limit the negative pressure applied to the pleural space (20

The management of pneumothorax with the thoracic vent versus conventional intercostal tube drainage

The thoracic vent is a new minimally invasive device for the treatment of spontaneous and iatrogenic pneumothorax. It consists of a polyurethane catheter connected to a plastic chamber containing a one-way valve. As there is no need to connect the thoracic vent to an underwater seal device, immobilization and hospitalization can be avoided. So far the performance of the thoracic vent has been evaluated only in patients without pleural effusions and without signs of tension pneumothorax.

What’s the Best Intervention for Primary Spontaneous Pneumothorax?

The management of an otherwise stable but symptomatic patient with PSP typically boils down to a few key decisions. First, is any intervention required? Secondly, if so, what sort of invention: standard chest tube, narrow-bore chest tube, or aspiration? Finally, should a patient be discharged home or remain in the hospital for observation?

Resources

Thora-Vent: The solution for pneumothorax

Thora-Vent is a closed, self-adhesive, compact, portable system with a self-contained vent for the treatment of spontaneous, traumatic or simple iatrogenic pneumothorax.

Uresil

UreSil’s flagship product, the Thora-Vent has become one of the most commonly accepted choices for physicians treating simple pneumothorax throughout the world.

Uresil TRU CLOSE Thoracic Vent In Service Training

Video with more information on The Tru-Close, as well as the procedure for placement.